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Social Security #
is required for this application, we will contact you for your SSN.
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Phone #
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Have you ever filed an application with us before?
If Yes, when?
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Have you ever been employed here before?
If Yes, when?
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Do you have any relatives employed here?
If Yes, who?
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Are you legally eligible for employment in this country?
(Proof of U.S. Citizenship or immigration status is required upon employment.) |
Are you 18 or Older?
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Minors (This section is for applicants under 18 years of age.)
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Birth Date
mm/dd/yyyy |
Time dismissed from school:
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If you are 16 or 17 years old; Do you have a work permit from your school district?
If No, will you be able to furnish one?
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Can you work: (check all that apply) |
School nights?
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Friday Nights?
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Saturday Nights?
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Sunday Nights?
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Have you ever been discharged/let go from a position?
If Yes, please explain:
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Have you had any disease communicable through food handling such as salmonella or hepatitis within the last year?
If Yes, please explain:
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Have you ever been convicted of any crime?
If Yes, please explain:
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Work History Experience (check all that apply) |
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Food Service
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Retail/Sales Associate/Cashier
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Security
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Box Office/Ticket Sales
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Communications
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Management
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Quality Control
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Projection equipment use
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Date available to begin work:
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Are you available to work:
Weekday evenings?
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Weekend evenings?
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Holiday evenings?
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Total hours available per week:
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Can you work overtime if required?
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Position applying for:
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Salary desired:
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Education |
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List all High School, College, University or Technical Training |
Years Completed |
Degree/Certificate |
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Employment |
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Employer |
Telephone |
Dates |
Summarize the nature of the work performed and job responsibilities: |
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Address |
Job Title |
Hourly Rate/Salary |
Immediate Supervisor/Job Title |
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Reason for Leaving |
May we contact for reference? |
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Employer |
Telephone |
Dates |
Summarize the nature of the work performed and job responsibilities: |
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Address |
Job Title |
Hourly Rate/Salary |
Immediate Supervisor/Job Title |
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Reason for Leaving |
May we contact for reference? |
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4Ds LLC is an equal opportunity employer. The 4Ds LLC does not discriminate employment and no questions on this application are used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state, or federal law.